Individual provider Active NPI

Paul McCafferty Ryan, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Carson City, NV
National Provider Identifier
1770555393
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
C172740 Issued in CA
Practice address
935 Mica Dr
Carson City, NV 89705-7268
Phone
(775) 783-3082
NPI assigned
Feb 7, 2006
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C172740 CA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 21229 NV
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X C172740 CA Primary

Addresses

Primary practice location

935 Mica Dr
Carson City, NV 89705-7268

Mailing address

PO Box 1143
Zephyr Cove, NV 89448-1143
Phone (530) 543-5668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211115002898 NV Practitioner - Orthopedic Surgery 5193879534 Reassigns benefits to 2 organizations
I20211115002930 CA Practitioner - Orthopedic Surgery 5193879534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

935 Mica Dr
Suite 13
Carson City, NV 89705-7181
Phone (775) 783-3065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue106
Removal of nail tissue15
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C172740CAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients
Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp CurrentSince Oct 1, 2021 Accepting new patients
Barton Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Tahoe Orthopedics & Sports Medicine, Inc. Orthopaedic Surgery CurrentSince Oct 1, 2021 Accepting new patients
Desert Rose Obstetrics & Gynecology Past Accepting new patients

Locations

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

2170 South Ave
Bldg B
South Lake Tahoe, CA 96150

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

925 Tahoe Blvd
Ste 105
Incline Village, NV 89451
Phone (530) 543-5799

Interoperability endpoints

  • Direct secure messaging: pryan172631@direct.renown.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1770555393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1143",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "894481143",
            "telephone_number": "530-543-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MICA DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057268",
            "telephone_number": "775-783-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PAUL",
        "middle_name": "MCCAFFERTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C172740",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NV",
            "license": "21229",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "C172740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.